Sexual and Reproductive

Health for Children and

Adolescent with
Disabilities :
An Overview

18.05.10

DISABILITY and SEXUALITY

MYTH
PWD are asexual
They have same needs
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Sex and
sexuality
SEX

SEXUALITY

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Sex is what we do. Sexuality

is who we are
(Anna Freud)

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Understand the difference between

sexuality and sex
Activity 1
Remembering the big blue circle and
statement by Anna Freud
Write down what you think sexuality
means
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What is Sexuality ?
anatomy,
physiology,
biochemistry of
sexual response
system;

ethical,
spiritual, and
moral

roles, identity
and
personality
sexual
knowledge,
beliefs,
attitudes,
values and
behaviour of
individuals.

18.05.10

individual
thoughts,
feelings,
behaviour
and
relationships.

Brainstorm
Activity 2
why it is important to teach children about
sexual health?

18.05.10

DISABILITY and SEXUALITY

FACT
PWD are sexual , so are children with disabilities
A child with disability is more prone to develop
inappropriate sexual behaviour.
A child who does not understand sexuality and abuse
is
less able to recognise or report abusive situations
more easily coerced or manipulated by others for
their daily needs such as bathing, toileting etc.

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 PWDs are living longer and are choosing

to marry or become sexually involved.
As a consequence of the increased choice
and opportunity, children and adolescents
with disabilities have a genuine need to
learn about sexuality

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Goals of sexuality education

provide information.
develop values (family, religion, cultural values)
develop interpersonal skills (communications, decision
making, peer refusal skills, creating, satisfying
relationships.)
develop responsibility for their bodies and actions
know how and when to seek help
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MODULE : Content
Part A- Life Skills
Part B - Personal safety.

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PART A Topics under Life Skills

Self Awareness
Communication Skills
Likes, Dislikes and Making Choices
Speaking Up
Friendship Skills
Understanding Relationships
Interaction Skills

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PART B

Body Parts, Puberty and Hygiene

Basic information needed for daily self care

Public and private body parts, places and activities

Relationship and Touch

Different types of relationships

Boundaries in relationships

Amount of acceptable touch in different kinds of relationships

Feelings and Emotions

Basic skills in socialisation and communication.

Different types of emotions

Understanding of the link between emotions and sexual health

Sexual Abuse and Handling Disclosures

Knowing the rules help children be aware of their rights and

responsibilities.

Teach Child SAFETY. Say/ Shout STOP, GO (run) , TELL

Actions required by care provider

when there is a disclosure
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When to teach
AGE APPROPRIATE
ABILITY TO UNDERSTAND
Ikut umur mental? Ikut umur kronologi?
Physical mental sexual growth.

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Body
parts

3-9 years

10-15 years

16 and above

Difference between
boys and girls

Life cycle changes

Your body is your

responsibility

Public and private

body parts

Puberty- changes
oPhysical
oMental
oEmotional

How babies are

made simple
terms, when
opportunity arise

How babies are made oResponsibilities of

details
sexual relationships

oDifference

between sex and

love

oResponsibilities

Hygiene

parenting
Hygiene
Masturbation
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Hygiene
Masturbation

of

Public
and
private

3-9 years

10-15 years

16 and above

oPlaces

Places

Behavior

oBehavior

othe way you

Behavior
o the way you dress dress
correct when
othe way you
opportunity arise
Conversation
look at people
oConversation
o talk to people you
correct when
trust
Conversation
otalk to people
opportunity arise
you trust

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3-9 years
Feeling and basic skills in
emotions
socialisation and
communication
recognise
& express
emotion
making
friends

10-15 years

16 and above

Building and
maintaining
relationships
o people of same
sex
o people of
opposite sex
o the way you look/
talk at people

Building and
maintaining
relationships
people of same
sex
people of opposite
sex
the way you look/
talk at people

18.05.10

Relations
hip and
touch

3-9 years

10-15 years

16 and above

RELATIONSHIP
BOUNDRIES
batas pergaulan

RELATIONSHIP
BOUNDRIES batas
pergaulan between
same sex and different
sex

RELATIONSHIP
BOUNDRIES batas
pergaulan between
same /different sex

Recognising
different type of
touch
Saying no to
inappropriate
touch

Recognising different
type of touch
Saying no to
inappropriate touch

Recognising different
type of touch
Saying no to
inappropriate touch

Laws and
Laws and consequences consequences of
of inappropriate
inappropriate
touching others
touching others
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How to teach?

AGE APPROPRIATE
ABILITY TO UNDERSTAND

Break topics into smaller pieces

Start with basics
Be concrete use visual cues
Be repetitive and cumulative
Modify for specific disabilities
uncomfortable with issues of sex and sex abuse
Attending to disclosure

o BE CREATIVE
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Tips for talking about Sexuality

Be non- judgmental
Be clear - medical and slang terms
Comfortable with material
Preview all material before using
Ability to address questions
Ability to respond effectively to
inappropriate behaviour
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Discuss different methods to teach

Activity 4
Discuss different disabilities and the
different ways to teach
How to modify? brainstorm

18.05.10

GOOD LUCK
&
enjoy yourselves

18.05.10